Neurology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Correspondence:
Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Correspondence are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Frank, J. I.
Right arrow Articles by Zuniga, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Frank, J. I.
Right arrow Articles by Zuniga, G.
NEUROLOGY 1992;42:1194
© 1992 American Academy of Neurology

Vasodepressor carotid sinus syncope associated with a neck mass

Jeffrey I. Frank, MD, Allan H. Ropper, MD and Gonzalo Zuniga, MD

Neurology Division, St. Elizabeth's Hospital, and the Neurological/Neurosurgical Intensive Care Unit, Massachusetts General Hospital, Boston, MA.

We present the hemodynamic and autonomie features of recurrent purely vasodepressor syncope episodes in a patient with left-sided malignant cervical adenopathy involving the carotid sinus. Extreme hypotension lasting 10 to 30 minutes, without change in heart rate, occurred spontaneously and 20 seconds after head-turning. The baseline respiratory sinus arrhythmia, heart rate response to standing and Valsalva's maneuver, and cold-induced blood pressure elevation were normal, indicating normal baroreceptor function between episodes. The episodes abated after 1 week of bedrest but reappeared within 1 day of discharge from the hospital. Syncope no longer occurred after intracranial section of the left glossopharyngeal nerve and upper rootlets of the left vagus. Autonomie testing remained normal postoperatively. A review of the literature indicates that purely vasodepressor syncope has been more common with left carotid sinus lesions.

Address correspondence and reprint requests to Dr. Jeffrey I. Frank, Assistant Professor, Stroke Program, Department of Neurology, Northwestern University Medical School, 233 E. Erie Street, Suite 500, Chicago, IL 60611.

Received June 14, 1991. Accepted for publication in final form November 8, 1991.




This article has been cited by other articles:


Home page
 ANGIOLOGYHome page
T. Koga, S. Kaseda, N. Miyazaki, N. Kawazoe, I. Abe, S. Sadoshima, K. Onoyama, and T. Koga
Neurally-Mediated Syncope Induced by Lung Cancer: A Case Report
Angiology, March 1, 2000; 51(3): 263 - 267.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1992 by AAN Enterprises, Inc.